TO:Adult Residential Care Provider (ARCP) Applicant

April 2, 2012

Page1

TO:Adult Residential Care Provider (ARCP) Applicant

FROM:Health Standards Section – Facility Need Review Program Manager

RE:Application Information

The following information relates to the time frames that are found in the Facility Need Review (FNR) rule as they relate to ARCP applicants. These provisions and others pertaining to ARCP applications can be found at LAC 48:1. Chapter 125, §§12505, 12517, 12519 and 12521.

Once an application has been submitted, there will be a review period of no more than 60 days. The review period begins on the first day after the date of receipt of the application. A maximum 30 days extension shall be allowed only upon initiation by the Facility Need Review program. An applicant may not request an extension of the review period, but may withdraw an application (in writing) at any time prior to the notification of the decision by the FNR program. If notification of the decision is not sent by the sixtieth day, the application is automatically denied.

ARCP units that are converted from Medicaid approved beds in existing nursing facilities and ARCP units that are to be licensed in existing adult residential facilities shall have final architectural plans approved no later than six months from the date of the FNR approval. Such units shall be licensed within one year from the date of the FNR approval.

ARCP units that are converted from Medicaid approved nursing facility beds to units in new facilities and ARCP units which are to be licensed in new adult residential facilities shall have final architectural plans approved no later than six months from the date of the FNR approval. Such units shall be licensed within 24 months from the date of the FNR approval.

A one-time 90 day extension may be granted, at the discretion of the department, when delays are caused by circumstances beyond the control of the applicant. Inappropriate zoning is not a basis for an extension.

All applicable fees must be submitted by way of company check, cashier’s check or money order payable to DHH. Application fees are non refundable.

(Originated January, 2009)

Any questions or requests for additional information should be forwarded as follows:

James Taylor, Program Manager

Facility Need Review

DHH, Health Standards Section

P.O. Box 3767

Baton Rouge, LA 70821-3767 or

500 Laurel St, Ste. 100, Baton Rouge, LA 70801

(225) 342-5457

Please note: The Department of Health and Hospitals (DHH) shall not process any application until all completed forms, required applicable accompanying information and the application fee is received.

ARCP APPLICATION CHECK LIST OF REQUIRED DOCUMENTATION

______Application with certifications signed (original and three copies)

______Letter of intent that includes location of the proposed ARC site and proposed date of opening

______Non-refundable fee of $200.00 (company check, cashier’s check or money order payable to DHH, no cash)

______Where applicable, floor plan of Medicaid approved Nursing Home beds to be converted to adult residential units